# Medical Fee Schedules

> Computed Medicare Physician Fee Schedule (PFS) rates by HCPCS/CPT code,
> versioned by release (year + A/B/C/D quarter). Every rate on this site
> is computed from the current CMS release using the standard formula:
>
>   amount = (work_rvu * work_gpci
>          + pe_rvu   * pe_gpci    ← non-facility OR facility depending on setting
>          + mp_rvu   * mp_gpci)
>        * conversion_factor
>
> Payability is status-driven (A/R/T payable; C carrier-priced; B/I/N/P/M/X/E
> not separately payable). Blank RVUs are never treated as zero. Sequestration
> (~2%) is applied post-formula only when requested. The current dataset is
> from the 2026 C PFS release.

## Code lookups

- [/cpt/{code}](https://medicalfeeschedules.com/cpt): Rate page for any HCPCS
  Level I (CPT) or Level II code. Shows status, RVUs, national payable
  amount for both facility and non-facility, historical rates by quarter,
  and locality variation. Example: /cpt/99213
- [/cpt/{code}/{year}/{quarter}](https://medicalfeeschedules.com/cpt):
  Same page scoped to a historical release. Example: /cpt/99213/2024/Q2

## Localities

- [/localities](https://medicalfeeschedules.com/localities): Directory of every
  Medicare payment locality, with a ZIP-code lookup. Medicare adjusts each rate
  to local costs via three GPCIs per locality.
- [/localities/{state}](https://medicalfeeschedules.com/localities):
  Every payment locality in a state, each with its own GPCIs and an example
  code's locality-adjusted rate. Example: /localities/ca
- [/localities/{state}/{slug}](https://medicalfeeschedules.com/localities):
  A locality's work/PE/MP GPCIs, national-vs-locality example rates, and the ZIP
  codes it covers. Example: /localities/ca/los-angeles-long-beach-anaheim
- [/localities/lookup?zip={zip}](https://medicalfeeschedules.com/localities):
  Resolve a ZIP code to its payment locality page. ZIPs that span multiple
  localities resolve to the dominant one and note that ZIP+4 is needed.

## Reference

- [/glossary](https://medicalfeeschedules.com/glossary):
  Index of every glossary term, each defined in plain language from primary
  CMS sources.
- [/guides](https://medicalfeeschedules.com/guides):
  Index of every longer-form guide to PFS payment mechanics.
- [/methodology](https://medicalfeeschedules.com/methodology):
  How the data is sourced from CMS files, computed, versioned, and how the
  explanatory content is written and verified.
- [/glossary/work-rvu](https://medicalfeeschedules.com/glossary/work-rvu):
  What a work RVU is and how it's used.
- [/glossary/gpci](https://medicalfeeschedules.com/glossary/gpci):
  Geographic Practice Cost Index — the locality adjustment factor.
- [/glossary/payment-locality](https://medicalfeeschedules.com/glossary/payment-locality):
  What a Medicare payment locality is and how ZIP codes map to one.
- [/glossary/conversion-factor](https://medicalfeeschedules.com/glossary/conversion-factor):
  The dollar multiplier that turns RVUs into payment.
- [/glossary/status-indicators](https://medicalfeeschedules.com/glossary/status-indicators):
  Payability by status code (A, R, T, C, B, I, N, P, M, X, E).
- [/guides/sequestration](https://medicalfeeschedules.com/guides/sequestration):
  When and how the ~2% cut is applied.
- [/guides/facility-vs-non-facility](https://medicalfeeschedules.com/guides/facility-vs-non-facility):
  Which PE RVU is used and why setting matters.
- [/guides/percent-of-medicare-contracts](https://medicalfeeschedules.com/guides/percent-of-medicare-contracts):
  What "% of Medicare" means in a commercial payer contract and how to find
  your own multiplier.
- [/guides/conversion-factor-2026](https://medicalfeeschedules.com/guides/conversion-factor-2026):
  Why CY2026 has two national conversion factors (QP vs non-QP) instead of
  one, and what that means for a specific rate.

## What changed

- [/changes](https://medicalfeeschedules.com/changes):
  Index of every release comparison.
- [/changes/{year}/{quarter}](https://medicalfeeschedules.com/changes):
  Codes with the largest national payment increases and decreases in that
  release versus the prior one. Example: /changes/2026/C

## Historical rates

- [/cpt/{code}/{year}/{quarter}](https://medicalfeeschedules.com/cpt):
  The rate for a code in a specific past release, with the change from the
  prior quarter. Immutable — always answers with that release's numbers.

## Specialties

- [/specialties](https://medicalfeeschedules.com/specialties):
  Every curated specialty hub. Each groups a specialty's common procedure mix
  with current national rates and year-over-year change. Example: /specialties/cardiology

## API

- [/docs](https://medicalfeeschedules.com/docs):
  REST API reference (endpoints, auth, free-tier rate limits) and a
  copy-paste curl example. A free API key requires only an email — no
  credit card.

## Comparisons

- [/compare/cms-pfs-lookup-tool](https://medicalfeeschedules.com/compare/cms-pfs-lookup-tool): Medical Fee Schedules vs. the CMS PFS Look-up Tool
- [/compare/aapc-coder](https://medicalfeeschedules.com/compare/aapc-coder): Medical Fee Schedules vs. AAPC Codify
- [/compare/find-a-code](https://medicalfeeschedules.com/compare/find-a-code): Medical Fee Schedules vs. Find-A-Code

## Sitemap

- [/sitemap.xml](https://medicalfeeschedules.com/sitemap.xml)

## Attribution

Every response and every page cites the release (schedule, year, quarter)
that produced the numbers. Historical releases are immutable — a rate
retrieved from Q2 2024 will always answer with Q2 2024 data.